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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2018 Dominos Roster for Maxim Integrated

The undersigned participants release the City of Richardson, Texas, (it's officers, agents and employees) from any injuries or damages sustained as the result of the participation in Corporate Challenge. By the signature below the undersigned participants acknowledges that the undersigned has read and understands the Corporate Challenge rules and agrees to abide by them.

Last Name First Name
Smith Lorne

Team 1
  Last Name First Name Gender Status Signature
1 Dockendorf William Male Employee  
2 Van Doren Trevor Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Kongs Jeremy Male Employee  
2 Smith Lorne Male Employee